Female urinary incontinence: comparative value of history and urodynamic investigations

Coutour, X. Le; Jung-Faerber, S.; Klein, Patrick; Renaud, R

doi:10.1016/0028-2243(90)90036-z

Cited by 6 publications

(3 citation statements)

References 8 publications

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“…We identified 10 cohort studies that focused on what questions to ask when diagnosing stress urinary incontinence (TABLE 1). 6,[13][14][15][16][17][18][19][20][21] These were questions related to urinary leakage with activities such as coughing, sneezing, lifting, walking, or running. There was significant heterogeneity among the studies (all P for heterogeneity Ͻ .001).…”

Section: The History In Diagnosing Urinary Incontinencementioning

confidence: 99%

What Type of Urinary Incontinence Does This Woman Have?

Holroyd‐Leduc

Tannenbaum

Thorpe³

et al. 2008

JAMA

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A 70-year-old woman comes to the physician's office for follow-up of hypertension. Her medical history is otherwise unremarkable and her medications include a ␤-blocker. She has 4 grown children who were all delivered vaginally. She says that she has been experiencing involuntary leakage of urine for several years and recently heard from a friend that there may be treatment options. Together, she and her physician decide to evaluate this issue further and schedule an office visit for the following week. To fully determine what treatment options will be best for this patient, it is important to determine what type of urinary incontinence she has. What is the most accurate way to determine the type of urinary incontinence during an office assessment? WHY DETERMINE THE TYPE OF URINARY INCONTINENCE?Urinary incontinence, defined as involuntary leakage of urine, affects up to 55% of women. 1,2 It can be divided into several different types, including stress, urge, mixed, overflow, and functional incontinence. The symptom of stress incontinence is involuntary leakage on effort or exertion, or on sneezing or coughing, 1 and it is the result of weak pelvic floor muscles, poor intrinsic sphincter function, increased urethral mobility, or all of the above

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Section: The History In Diagnosing Urinary Incontinencementioning

confidence: 99%

What Type of Urinary Incontinence Does This Woman Have?

Holroyd‐Leduc

Tannenbaum

Thorpe³

et al. 2008

JAMA

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“…119 All of these studies used the presence or absence of stress incontinence symptoms as their index test compared with the reference test of multichannel urodynamics, except for one study that used single-channel urodynamics as the reference standard. 165 Fifteen studies provided a full cross-tabulation of results and the data from these studies were combined to provide a pooled sensitivity of 0.92 (95% CI 0.91 to 0.93) and specificity of 0.56 (95% CI 0.53 to 0.60) for the diagnosis of USI in women using a clinical history (Figure 3). Although all of these studies used symptoms of stress incontinence, it is probable that different amounts and types of questions were used and different cutoffs applied.…”

Section: Usi In Womenmentioning

confidence: 99%

“…164 In addition, one study compared stress incontinence symptoms with single-channel urodynamics; a sensitivity of 0.92 and specificity of 0.39 is reported. 165 …”

Section: Usi In Womenmentioning

confidence: 99%

Systematic review and evaluation of methods of assessing urinary incontinence

Martin

Williams²,

Abrams³

et al. 2006

Health Technol Assess

111

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Who Needs Urodynamics?

Sand¹,

Ostergard

1995

Urodynamics and the Evaluation of Female Incontinence

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Female urinary incontinence: comparative value of history and urodynamic investigations

Cited by 6 publications

References 8 publications

What Type of Urinary Incontinence Does This Woman Have?

What Type of Urinary Incontinence Does This Woman Have?

Systematic review and evaluation of methods of assessing urinary incontinence

Who Needs Urodynamics?

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